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Income Taxes - Provision for Income Taxes on Earnings Subject to Income Taxes Differs from Statutory Federal Rate (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Income Tax Disclosure [Abstract]      
Federal income taxes, rate 21.00% 21.00% 21.00%
Federal income taxes at 21% $ 69.7 $ 44.9 $ 21.3
State income tax, net of federal benefit 17.5 11.8 6.2
Branded prescription drug fee 8.7 6.5 4.8
Loss on extinguishment of convertible senior notes 0.0 12.0 0.0
Stock-based compensation expense (3.9) (2.5) (11.3)
Officer compensation 9.6 9.2 7.0
Change in tax rate (2.1) (1.3) 0.2
Expired tax attributes 0.0 0.0 0.6
Research credits (42.2) (29.9) (22.0)
Change in valuation allowance 22.0 7.4 5.0
Other 3.1 1.3 0.0
Provision for income taxes $ 82.4 $ 59.4 $ 11.8